Name: | TENNESSEE VALLEY PAIN CONSULTANTS, PC |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 11 Dec 2015 (9 years ago) |
Entity Number: | 000-351-317 |
Register Number: | 000351317 |
Historical Names: |
NORTH ALABAMA PAIN CONSULTANTS, PC
|
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801 |
Principal Address ZIP Code: | 35801 |
Authorized Capital: | 1000 |
Activities
MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1730548264 | 2016-02-11 | 2017-03-28 | PO BOX 11407, BIRMINGHAM, AL, 352460116, US | 201 GOVERNORS DR SW STE 400, HUNTSVILLE, AL, 358015183, US | |||||||||||||||||||
|
Phone | +1 256-533-7064 |
Fax | 2567040115 |
Phone | +1 256-265-7246 |
Fax | 2652657017 |
Authorized person
Name | MORRIS SCHERLIS |
Role | PRESIDENT |
Phone | 2562657246 |
Taxonomy
Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
TENNESSEE VALLEY PAIN CONSULTANTS PC RETIREMENT PL | 2011 | 631168726 | 2012-10-15 | TENNESSEE VALLEY PAIN CONSULTANTS PC | 4 | |||||||||||||||||||||||||||||||||||
|
Administrator’s EIN | 631168726 |
Plan administrator’s name | TENNESSEE VALLEY PAIN CONSULTANTS PC |
Plan administrator’s address | 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801 |
Administrator’s telephone number | 2562657908 |
Number of participants as of the end of the plan year
Active participants | 4 |
Signature of
Role | Plan administrator |
Date | 2012-10-08 |
Name of individual signing | MORRIS L. SCHERLIS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 2562657908 |
Plan sponsor’s mailing address | 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801 |
Plan sponsor’s address | 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801 |
Plan administrator’s name and address
Administrator’s EIN | 631168726 |
Plan administrator’s name | TENNESSEE VALLEY PAIN CONSULTANTS PC |
Plan administrator’s address | 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801 |
Administrator’s telephone number | 2562657908 |
Number of participants as of the end of the plan year
Active participants | 4 |
Signature of
Role | Plan administrator |
Date | 2011-10-14 |
Name of individual signing | MORRIS L. SCHERLIS |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2003-01-01 |
Business code | 621111 |
Sponsor’s telephone number | 2562657908 |
Plan sponsor’s mailing address | 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801 |
Plan sponsor’s address | 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801 |
Plan administrator’s name and address
Administrator’s EIN | 631168726 |
Plan administrator’s name | TENNESSEE VALLEY PAIN CONSULTANTS PC |
Plan administrator’s address | 201 GOVERNORS DRIVE SUITE 400, HUNTSVILLE, AL, 35801 |
Administrator’s telephone number | 2562657908 |
Number of participants as of the end of the plan year
Active participants | 4 |
Signature of
Role | Plan administrator |
Date | 2010-10-14 |
Name of individual signing | RENE FORTIN |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
SCHERLIS, MORRIS L | Agent | 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801 |
Name | Role | Address |
---|---|---|
SCHERLIS, MORRIS L | Director | 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801 |
Name | Role | Address |
---|---|---|
SCHERLIS, MORRIS L | Incorporator | 201 GOVERNORS DR SUITE 400HUNTSVILLE, AL 35801 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2015-12-17 | Name Change | NORTH ALABAMA PAIN CONSULTANTS, PC | TENNESSEE VALLEY PAIN CONSULTANTS, PC |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State